Alice Sheets Walker

Individual provider Active NPI Pharmacist · Oakland, TN

NPI 1639450331 · NPPES record last updated Sep 8, 2011

Key facts

NPI
1639450331
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
C-6358 (TN)
Practice address
14860 Highway 194
Oakland, TN 38060-3406
Phone
(901) 466-9956
Fax
(901) 466-1476
NPI assigned
Sep 8, 2011
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
PS26091FLMDPharmacist
C-6358TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co Past Accepting new patients
Walgreen Co Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X C-6358 TN Yes
Pharmacist 183500000X PS26091 FL

Addresses

Primary practice location

14860 Highway 194
Oakland, TN 38060-3406

Mailing address

14860 Highway 194
Oakland, TN 38060-3406
Phone (901) 466-9956

Other providers in Oakland, TN

All providers in Oakland, TN · Pharmacist in Tennessee

Sources for this page

Verify at the official NPI Registry.